Individual
SHANI JADE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 S ELLIS ST APT 1042, CHANDLER, AZ 85224-4956
(480) 987-7420
Mailing address
635 S ELLIS ST APT 1042, CHANDLER, AZ 85224-4956
(480) 274-0117
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9414
AZ
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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